Expert Opinion on Drug Delivery,
Год журнала:
2023,
Номер
20(12), С. 1699 - 1711
Опубликована: Сен. 2, 2023
The
blood-brain
barrier
(BBB)
restricts
brain
access
of
virtually
all
macromolecules.
Receptor-mediated
transcytosis
(RMT)
is
one
strategy
toward
their
delivery.
In
this
strategy,
targeting
ligands
conjugated
to
therapeutic
payload
or
decorating
particles
containing
the
interact
with
targets
on
capillary
endothelial
cells
(BCEC),
triggering
internalization,
trafficking,
and
release
from
BCEC.
Adeno-associated
viruses
(AAVs)
hold
tremendous
promise
as
delivery
vectors
for
gene
therapies.
AAVs
have
been
successfully
engineered—for
instance,
more
efficient
and/or
cell-specific
to
numerous
tissues—by
creating
large,
diverse
starting
libraries
and
selecting
desired
properties.
However,
these
often
contain
a
high
proportion
of
variants
unable
assemble
or
package
their
genomes,
prerequisite
any
goal.
Here,
we
present
showcase
machine
learning
(ML)
method
designing
AAV
peptide
insertion
that
achieve
fivefold
higher
packaging
fitness
than
the
standard
NNK
library
with
negligible
reduction
in
diversity.
To
demonstrate
our
ML-designed
library’s
utility
downstream
engineering
goals,
show
it
yields
approximately
10-fold
successful
after
selection
infection
human
brain
tissue,
leading
promising
glial-specific
variant.
Moreover,
design
approach
can
be
applied
other
types
beyond.
Nature Communications,
Год журнала:
2025,
Номер
16(1)
Опубликована: Янв. 8, 2025
Abstract
An
abnormal
expansion
of
a
GGGGCC
(G
4
C
2
)
hexanucleotide
repeat
in
the
C9ORF72
gene
is
most
common
genetic
cause
amyotrophic
lateral
sclerosis
(ALS)
and
frontotemporal
dementia
(FTD),
two
debilitating
neurodegenerative
disorders
driven
part
by
gain-of-function
mechanisms
involving
transcribed
forms
expansion.
By
utilizing
Cas13
variant
with
reduced
collateral
effects,
we
develop
here
high-fidelity
RNA-targeting
CRISPR-based
system
for
C9ORF72-linked
ALS/FTD.
When
delivered
to
brain
transgenic
rodent
model,
this
Cas13-based
platform
curbed
expression
G
repeat-containing
RNA
without
affecting
normal
levels,
which
turn
decreased
formation
foci,
production
dipeptide
protein,
reversed
transcriptional
deficits.
This
possessed
improved
transcriptome-wide
specificity
compared
its
native
form
mediated
targeting
motor
neuron-like
cells
derived
from
patient
ALS.
These
results
lay
foundation
implementation
CRISPR
technologies
Nature Communications,
Год журнала:
2025,
Номер
16(1)
Опубликована: Янв. 8, 2025
Abstract
The
most
common
genetic
cause
of
frontotemporal
dementia
(FTD)
and
amyotrophic
lateral
sclerosis
(ALS)
is
an
intronic
G
4
C
2
repeat
expansion
in
C9orf72
.
repeats
undergo
bidirectional
transcription
to
produce
sense
antisense
RNA
species,
which
are
translated
into
dipeptide
proteins
(DPRs).
As
toxicity
has
been
associated
with
both
repeat-derived
DPRs,
targeting
strands
may
provide
the
effective
therapeutic
strategy.
CRISPR-Cas13
systems
mature
their
own
guide
arrays,
allowing
multiple
species
from
a
single
construct.
We
show
CRISPR-Cas13d
variant
CasRx
effectively
reduces
overexpressed
transcripts
DPRs
HEK
cells.
In
patient-derived
iPSC-neuron
lines,
CRISPR-CasRx
endogenous
RNAs
protects
against
glutamate-induced
excitotoxicity.
AAV
delivery
two
distinct
mouse
models
significantly
reduced
repeat-containing
transcripts.
This
highlights
potential
RNA-targeting
CRISPR
as
therapeutics
for
ALS/FTD.
Adeno-associated
virus
(AAV)
vectors
are
a
promising
vehicle
for
noninvasive
gene
delivery
to
the
central
nervous
system
via
intravenous
infusion.
However,
naturally
occurring
serotypes
have
limited
ability
transduce
brain,
and
translating
engineered
capsids
from
mice
nonhuman
primates
has
proved
challenging.In
this
study,
we
use
an
mRNA-based
directed-evolution
strategy
in
multiple
strains
of
as
well
de
novo
selection
cynomolgus
macaques
identify
families
with
increased
potency
brain
decreased
tropism
liver.We
compare
transgene
expression
capabilities
several
show
that
while
some
our
novel
macaque-derived
variants
significantly
outperform
AAV9
transducing
macaque
following
systemic
administration,
mouse-derived
variants-both
those
identified
study
reported
by
other
groups-universally
do
not.Together,
results
work
introduce
class
primate-derived
AAV
therapeutic
potential
highlight
critical
need
using
appropriate
animal
models
both
evaluate
AAVs
intended
human
system.This
was
funded
primarily
through
anonymous
philanthropic
gift
P.C.S.
lab
at
Broad
Institute
MIT
Harvard
grant
Howard
Hughes
Medical
Current Research in Neurobiology,
Год журнала:
2023,
Номер
4, С. 100086 - 100086
Опубликована: Янв. 1, 2023
Modern
neuroscience
approaches
including
optogenetics,
calcium
imaging,
and
other
genetic
manipulations
have
facilitated
our
ability
to
dissect
specific
circuits
in
rodent
models
study
their
role
neurological
disease.
These
regularly
use
viral
vectors
deliver
cargo
(e.g.,
opsins)
tissues
genetically-engineered
rodents
achieve
cell-type
specificity.
However,
the
translatability
of
these
models,
cross-species
validation
identified
targets,
translational
efficacy
potential
therapeutics
larger
animal
like
nonhuman
primates
remains
difficult
due
lack
efficient
primate
vectors.
A
refined
understanding
nervous
system
promises
insights
that
can
guide
development
treatments
for
neurodegenerative
diseases.
Here,
we
outline
recent
advances
adeno-associated
optimized
primates.
tools
promise
help
open
new
avenues
further
brain.
Medicinal Research Reviews,
Год журнала:
2024,
Номер
44(5), С. 2112 - 2193
Опубликована: Март 28, 2024
Abstract
Over
the
past
decade,
in
vivo
gene
replacement
therapy
has
significantly
advanced,
resulting
market
approval
of
numerous
therapeutics
predominantly
relying
on
adeno‐associated
viral
vectors
(AAV).
While
have
undeniably
addressed
several
critical
healthcare
challenges,
their
clinical
application
unveiled
a
range
limitations
and
safety
concerns.
This
review
highlights
emerging
challenges
field
therapy.
At
first,
we
discuss
both
role
biological
barriers
with
focus
AAVs,
current
landscape
human
We
delineate
advantages
disadvantages
AAVs
as
delivery
vehicles,
mostly
from
perspective
(hepatotoxicity,
cardiotoxicity,
neurotoxicity,
inflammatory
responses
etc.),
outline
mechanisms
adverse
events
response
to
AAV.
Contribution
every
aspect
AAV
(genomic
structure,
capsid
proteins)
host
injected
is
considered
substantiated
by
basic,
translational
studies.
The
updated
evaluation
recent
trials
medical
experience
clearly
shows
risks
that
sometimes
overshadow
hopes
for
curing
hereditary
disease.
last,
set
established
new
molecular
nanotechnology
tools
approaches
are
provided
potential
solutions
mitigating
or
eliminating
side
effects.
increasing
number
severe
reactions
and,
sadly
deaths,
demands
decisive
actions
resolve
issue
immune
extremely
high
doses
used
In
these
various
strategies
under
development,
including
aimed
at
augmenting
characteristics
others
focused
creating
secure
efficacious
non‐viral
vectors.
comprehensive
offers
an
overarching
present
state
utilizing
The Journal of Gene Medicine,
Год журнала:
2024,
Номер
26(8)
Опубликована: Авг. 1, 2024
Abstract
To
date,
3,900
gene
therapy
clinical
trials
have
been
completed,
are
ongoing
or
approved
worldwide.
Our
database
brings
together
global
information
on
activity
from
trial
databases,
official
agency
sources,
published
literature,
conference
presentations
and
posters
kindly
provided
to
us
by
individual
investigators
sponsors.
This
review
presents
our
analysis
of
that,
the
best
knowledge,
being
performed
As
March
2023
update,
we
entries
undertaken
in
46
countries.
We
analyzed
geographical
distribution
trials,
disease
indications
(or
other
reasons)
for
proportions
which
different
vector
types
used,
genes
transferred.
Details
analyses
presented,
searchable
The
Journal
Gene
Medicine
Therapy
Clinical
Trials
Worldwide
website
at
https://a873679.fmphost.com/fmi/webd/GTCT
.
also
provide
an
overview
progress
made
around
world,
discuss
key
trends
since
previous
review,
namely
unprecedented
increase
activity,
including
implementation
genome
editing
technology
with
potential
transform
field
moving
forward.